Organization
VISUALEYES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETHANY HILTERMAN BRADY OD (SOLE MEMBER)
(814) 920-5010
Entity
Organization
Contact information
Practice address
1600 PENINSULA DR STE 15, ERIE, PA 16505-4261
(814) 920-5010
Mailing address
7376 GARFIELD AVE, HARBORCREEK, PA 16421-1405
(814) 873-0792
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076225210002
—
PA
Enumeration date
08/12/2021
Last updated
08/12/2021
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